RESUMO
Presentation of a patient with two foreign bodies each 21 cm long in left nasal orbit and penetrating as far as the sinciput. The patient had been knitting at the time of the accident and had probably autonomously thrust the two knitting needles into the left orbit, as assessed by questioning of other parties. The patient had a known history of paranoid schizophrenia and dementia. Central imaging revealed the position of the knitting needles with respect to the intracranial vessels to be threatening. The surgical removal of the knitting needles was carried out without any serious complications, such as intracranial hemorrhage.
Assuntos
Corpos Estranhos no Olho/diagnóstico por imagem , Corpos Estranhos no Olho/cirurgia , Ferimentos Oculares Penetrantes/diagnóstico por imagem , Ferimentos Oculares Penetrantes/cirurgia , Comportamento Autodestrutivo/diagnóstico por imagem , Comportamento Autodestrutivo/cirurgia , Idoso de 80 Anos ou mais , Remoção de Dispositivo/métodos , Feminino , Humanos , Resultado do TratamentoAssuntos
Exoftalmia/diagnóstico , Exoftalmia/etiologia , Fasciite Necrosante/complicações , Fasciite Necrosante/diagnóstico , Infecções Estreptocócicas/complicações , Infecções Estreptocócicas/diagnóstico , Streptococcus pyogenes , Exoftalmia/terapia , Fasciite Necrosante/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Infecções Estreptocócicas/terapia , Resultado do TratamentoRESUMO
In both cases optic disc neuropathy with perimetry defects and loss of vision is caused by a cerebral tumour. The progression of optic damage was stopped by resection of the tumor in both patients. We recommend the performance of a radiological examination in patients with visual field defects if the intraocular pressure is normal and thus glaucoma may not be the cause of the defects.
